Double row construct with medial row closure

A knotless method of attaching soft tissue to bone, comprising:

• providing a first medial row constructed with a first plurality of fixation devices, wherein each of the first plurality of fixation devices is a knotless fixation device preloaded with a flexible strand, wherein, upon insertion of each of the fixation devices within bone, the flexible strand forms a flexible loop and two free limbs securely attached to the knotless fixation device;
• providing a second lateral row constructed with a second plurality of fixation devices;
• passing one limb of one of the first plurality of fixation devices through a loop of an adjacent fixation device and then over a lateral portion of the soft tissue, passing one limb of the adjacent fixation device through the loop of one of the first plurality of fixation devices and then over a lateral portion of the soft tissue;
• and
• securing the two free limbs of each fixation device at an opposite end in a hole in bone by the second plurality of fixation devices.

A method of fixation of soft tissue, comprising:

• providing a knotless fixation device having an anchor body and a tip with an eyelet, and a flexible strand passed through the eyelet;
• fixing the knotless fixation device in the bone by inserting the anchor body over the tip so that the flexible strand forms a flexible loop and two limbs attached to the loop, the flexible loop and the two limbs being securely attached to the tip of the knotless fixation device;
• passing a flexible elongated member attached to an adjacent fixation device through the flexible loop;
• and
• subsequently, passing the flexible elongated member over a lateral portion of the soft tissue, and securing the flexible elongated member with another fixation device.

A method of tissue fixation comprising:

• providing a first anchor and a second anchor in the proximity of a bone, wherein each of the first and second anchors is preloaded with a length of an elongated flexible member attached to each of the first and second anchors;
• inserting the first and second anchors into first and second bone sockets so that each of the elongated flexible member forms a loop and two attached flexible legs extending from the loop, each loop being securely attached to the corresponding anchor;
• passing one leg of the first anchor through the loop of the second anchor, and passing one leg from the second anchor through the loop of the first anchor;
• providing a plurality of bone sockets laterally displaced from the first and second bone sockets;
• passing the flexible legs of each of the first and second anchors over a portion of a tissue to be fixated;
• and
• anchoring the flexible legs into the plurality of bone sockets without tying a knot and using a plurality of fixation devices, thereby providing tissue fixation.

A suture construct, comprising:

• a first knotless fixation device with a first suture loop and two suture legs extending therefrom;
• and
• a second knotless fixation device with a second suture loop and two suture legs extending therefrom,
• wherein one leg of the first fixation device is passed through the second loop of the second fixation device, and wherein one leg of the second fixation device is passed through the first loop of the first fixation device.